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Federal Authorities Targeting CGM Device Reimbursement Claims The Centers for Medicare and Medicaid Services (CMS) expanded Medicare coverage for continuous glucose monitoring (CGM) devices in 2018. This led to a substantial increase in Medicare reimbursement requests for these devices—which in turn led to enhanced scrutiny of the health care providers, pharmacies, and other entities submitting these reimbursement claims. One particular area of concern which is proving problematic for many Medicare participants in 2021 is the classification of CGM devices as durable medical equipment (DME). “There are several potential stumbling blocks for Medicare participants when it comes to billing for CGM—including issues with regard to the classification of CGM as DME. CGM billing compliance is currently a nationwide enforcement priority, and entities that fail to establish and maintain compliance can face substantial liability in the event of an audit or investigation.” – Dr. Nick Oberheiden, Founding Attorney of Oberheiden P.C.

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Defending Against Fraud Allegations in Litigation Under Section 206 of the Investment Advisers Act Section 206 of the Investment Advisers Act of 1940 is one of the many laws the U.S. Securities and Exchange Commission (SEC) uses to combat investment fraud. Under Section 206, investment advisers can face enforcement action for engaging in various forms of prohibited conduct, with such enforcement action having the potential to lead to administrative, civil, or criminal penalties. Similar to many of the other laws the SEC uses to combat investment fraud (i.e. Section 17(a) of the Securities Act of 1933 and Section 10(b) of the Securities and Exchange Act of 1934), Section 206 of the Investment Advisers Act of 1940 is extremely broad in scope.

How Will The Metaverse Change Commercial Insurance? How Will The Metaverse Change Commercial Insurance?. Over the past couple of years, we've started to hear a lot more about the Metaverse and how it will affect businesses like commercial insurance companies. However, it is essential to keep in mind that there is still a lot of work that needs to be done to build this new reality. It requires brands, businesses, individuals, and communities to pour work and money into the project.

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